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DIALOGUE
DIALOGUE
Fig. 10
tooth has been oriented in its final recommend reviewing Sanders' excel-
A frenectomy is position prior to removal of the fixed lent 1999 paper.18
FIG. 10
performed with appliances. In the presence of gingi-
appliances in place. REFERENCES
val inflammation, the procedure
should be postponed until the 1. Sullivan H, Atkins J. Free autogenous
inflammation has subsided. Edwards' gingival grafts: Part I. Principles of suc-
CIRCUMFERENTIAL FIBEROTOMY cessful grafting. Periodontics 1968;6:121-
study demonstrated that the tattoo
The propensity for relapse of cor- marks reverted to their original con- 129.
rected rotated teeth is well recognized figuration within 20 to 40 hours
by all orthodontic practitioners. In a 2. Dordick B, Coslet JG, Seibert JS.
after completion of the fiberotomy Clinical evaluation of free autogenous
study that investigated the incidence while negligible rotational relapse of gingival grafts placed on alveolar bone.
of relapse, Swanson concluded that the tooth occurred. Part I. Clinical predictability.
the amount of rotational relapse J Periodontol 1976;41:559-567.
tends to be a function of the severity Since the circumferential fibero-
of the original rotation.11 In other tomy procedure is simple and the 3. James WC, McFall WT. Placement
words, the more severely rotated a complications are few, this procedure of free gingival grafts on denuded alveo-
tooth is before treatment, the more may be a routine component of a lar bone. Part I. Clinical evaluations.
severe the rotational relapse will be. comprehensive retention regimen. J Periodontol 1978;49:283-290.
Several clinical and histologic 4. James WC, McFall WT, Burkes EJ.
INTERDISCIPLINARY Placement of free gingival grafts on
investigations indicate that the major COOPERATION IS KEY denuded alveolar bone. Part III.
relapse pull on a rotated tooth A strong relationship between the Microscopic observations. J Periodontol
appears to be in the supracrestal general dentist, orthodontist, patient 1978;49:291-300.
fibers.11,12,13,14,15,16 The suspected culprit and the periodontal therapist must
was demonstrated by Edwards in a exist in order to achieve successful 5. Caffesse RG, Burgett FG, Nasjleti CE,
classic study using tattoo marks on orthodontic therapy. A comprehen- Castelli WA. Healing of free gingival
the gingiva opposite the rotated teeth sive periodontal examination is grafts with and without periosteum. Part
(Figures 11-14).17 The tattoo marks essential prior to orthodontic therapy I. Histologic evaluation. J Periodontol
1979;50:586-594.
ORTHODONTIC DIALOGUE
VOLUME TWELVE NUMBER ONE WINTER 2000 6. Soehren AE, Allen AL, Cutright DE, 12. Boese LR. Increased stability of
Seibert JS. Clinical and histologic studies orthodontically rotated teeth. Am J
The American Association of of donor tissue utilized for free grafts of Orthod 1969;56:273-290.
masticatory mucosa. J Periodontol
Orthodontists is a national dental 1973;44:727-741. 13. Edwards, JG. A study of the peri-
specialty organization that was founded in odontium during orthodontic rotation of
1900. The AAO comprises more than 7. Dorfman HS, Kennedy JE, Bird WC. teeth. Am J Orthod 1968;54:441-459.
Longitudinal evaluation of free gingival
13,000 members. Among its primary autografts. J Clin Periodontol 14. Reitan K. Retention and avoidance of
goals are the advancement of the art and 1980;7:316-324. post-treatment relapse. Am J Orthod
the science of orthodontics; the encour- 1969;55:784.
8. Dorfman HS, Kennedy JE, Bird WC.
agement and sponsorship of research; and Longitudinal study of free autogenous 15. Reitan K. Tissue rearrangement dur-
the achievement of high standards of gingival grafts. A 4-year report. ing retention of orthodontically rotated
excellence in orthodontic instruction, J Periodontol 1982;53:349-352. teeth. Angle Orthod 1959;29:105-113.
practice and continuing education. 9. Raetzke P. Covering localized areas of 16. Thompson HE. Orthodontic relapses
Orthodontic Dialogue is published root exposure employing the ‘envelope’ analyzed in a study of connective tissue
to help communicate with the dental pro- technique. J Periodontol 1985;56:397- fibers. Am J Orthod 1959;45:93-103.
402.
fession about orthodontics and patient 17. Edwards JG. A surgical procedure to
care. Unless stated otherwise, the opin- 10. Edwards JG. The diastema, the eliminate rotational relapse. Am J Orthod
ions expressed and statements made in frenum, the frenectomy - a clinical study. 1970;57:35.
Am J Orthod 1977;71:489-508.
this publication are those of the authors 18. Sanders, NI. Evidence based care in
and do not imply endorsement by or 11. Swanson WA, Reidel RA and orthodontics and periodontics: a review
official policy of the AAO. Reproduction D’Anna, JA. Postretention study: of the literature. JADA 1999;130:521-
Incidence and stability of rotated teeth in 527.
of all or any part of this publication is humans. Angle Orthod 1975;45:198.
prohibited without written permission of
the AAO.
The AAO encourages you and your patients to
Correspondence is welcome and visit the AAO Web site, Orthodontics Online, to www.braces.org
should be sent to: American Association learn more about the AAO and orthodontics.
of Orthodontists, Council on Com-
munications, 401 N. Lindbergh Blvd.,
St. Louis, MO 63141-7816.
American Association of Orthodontists
Dr. Mervin W. Graham, President 401 N. Lindbergh Blvd.
Non-Profit Org.
Denver, Colorado St. Louis, MO 63141-7816 U.S. Postage
Dr. Michael D. Rennert, President-Elect PAID
Montreal, Quebec St. Louis, MO.
Dr. Frederick G. Preis, Secretary-Treasurer Permit No. 343
Bel Air, Maryland
Dr. Christopher W. Carpenter, Chair
Council on Communications
Denver, Colorado
Dr. John R. Barbour, Chair
Orthodontic Dialogue Subcommittee
Carmel, Indiana
Ronald S. Moen, Executive Director
St. Louis, Missouri
Contributors to this issue:
Dr. Stanley Ross,
San Leandro, California
Dr. Steve Chang,
San Leandro, California